Posted by SLS on April 12, 2011, at 5:35:17
In reply to Re: Nortriptyline vs reboxetine, posted by bleauberry on March 29, 2011, at 15:30:31
> Wow that's a tough one. It's a balancing act between...1)be content significant improvement has happened and don't risk destabilizing that, or 2)Make the switch and see what happens in the hopes that it will be even better.
>
> Nortriptyline has a good track record for a long time worldwide. Reboxetine hasn't been around that long and is only in limited parts of the world. No matter, all that really counts is what a drug feels like to each individual patient. And there is no way to know that without trying.
>
> So yeah, it's tough. In your shoes I would probably lower the reboxetine dose slightly and add a small bit of nortriptyline to it, and then gently attempt a cross taper to see what happens along the way. That's the only way I would know. Would I go cold turkey? No way not me anyway. Suddenly stopping a potent NE med like that feels nasty.
When I experienced a suicidal exacerbation of my depression with reboxetine, I suffered no such withdrawal effect when I discontinued it abruptly. Same thing with atomoxetine and desipramine. I found SSRIs and SRIs to be more difficult to discontinue. Perhaps I am atypical?
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.
poster:SLS
thread:981366
URL: http://www.dr-bob.org/babble/20110406/msgs/982546.html